Quote:
Originally Posted by xMenace  Improved circulation!?
But I suspect your carbs. Were they high GI? Many times I've had high GI meals, a high PP, then a normal 4 or 5 hour test. If this was the case, adding a correction compounded things.
It could have been a bad meter reading too. Carbs on the fingers. |
Whilst the shower could have changed things (show me a single thing we can do that doesn't alter insulin / food profiles
) I'm with XMenace on the carbs thing.
Novorapid (according to Novo's profile graph) lasts nigh on 6 hours in the 'average' person. Whatever that is!
Anyway, you blood tested at hour 2.5. At that point, around 1/2 of your Novo will still be in your system. As you've said that 1u drops you by 6.0mmol, you've got more than enough insulin left to send you hypo anyway PROVIDING there is no food still absorbing to soak up that extra insulin.
When testing at the 2 hour point, I've learned that the reading I hope for depends a lot on what I ate. If I ate all high GI rapid absorbing carbs and I test 'in normal range' then I'm worried. I know that most of the food will be gone but (even with Apidra which is faster than Novo for me) the insulin will still have 30% of its action left. Not good.
If all the stuff I ate was high GI I kind of expect my two hour reading to be a little 'off'. I've experimented with this, and you'd be amazed how often it comes down to normal by itself by hour 3 or 4.
Now, if you ate lots of low GI stuff and test high at hour 2 then a correction shot is a far more reasonable thing to do. It is just making that judgement call as to 'what is the reasonable response to this reading?'.
Another thing that may bite you is basal. Since pumping, I've discovered that my basal needs taper off a great deal starting around 10pm at night; the time you went hypo may have coincided with your body needing less basal. Unfortunately on MDI you cannot turn the once or twice a day injection down or turn it off like you can with a pump so this wonderful factor can also get you.
And then we have the phases of the moon, stress, the shower, something scary you just watched on TV and a million and one other wonders of the world that are here just to keep us all on our toes when we think we know it all
Gary
__________________
13 years of MDI
And then a little pump floats by
And now my pants are filled with tubes
That tangle all around my.... er .... knees
The hours I'm hooked up? All twenty four
And that's it for now until evermore
But I disconnect for up to an hour
For wonderful fun (and sometimes a shower)
And when I 'suspend' it, it plays Barry White
And my wife knows she's in for one heck of a night
But only an hour of that night is with me
As an hour is all I'm allowed now, you see...
